NPI | 1285921221 |
---|---|
Former Name | SONIA EILEEN HEIDENREICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92177) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 21233) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2022-11-29 |